Polymyositis-Associated Interstitial Lung Disease (NSIP / Organizing Pneumonia Overlap)
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Imaging findings
Chest CT shows multifocal subpleural and peripheral ground-glass opacities with classic subpleural sparing, transitioning into a geographic, peribronchovascular distribution of consolidation in the lung bases. These findings represent a mixed pattern of non-specific interstitial pneumonia (NSIP) and organizing pneumonia (OP).
Key takeaways
Interstitial lung disease is highly associated with polymyositis, particularly in patients harboring the anti-Jo-1 antibody, which carries up to a 70% risk of developing ILD. Serum KL-6 levels correlate with ILD severity, and the imaging frequently reveals an overlap of NSIP and organizing pneumonia patterns.
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